PERBEDAAN KEJADIAN POST OPERATIVE NAUSEA AND VOMITING ANTARA PASIEN DENGAN GENERAL ANESTESI DAN SPINAL ANESTESI DI RUMAH SAKIT DAERAH MANGUSADA IDA DAYU MARSSUNI Fakultas Kesehatan Prodi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar belakang. Post operative nausea and vomiting (PONV) merupakan salah satu masalah yang semakin umum dihadapi pasien pada 24 jam pertama pasca anestesi dan pembedahan. PONV dianggap sebagai kejadian ringan dan jarang berakibat fatal terutama pada pasien dengan spinal anestesi, namun pada kasus yang persisten bisa mengakibatkan dampak merugikan bagi pasien, baik pasien dengan general anestesi maupun spinal anestesi. Tujuan. Untuk mengetahui secara umum perbedaan kejadian PONV antara pasien dengan general anestesi dan spinal anestesi di Rumah Sakit Daerah Mangusada. Metode. Penelitian ini menggunakan desain penelitian Deskriptif Komparatif dengan pendekatan Cross-sectional yang dilaksanakan pada bulan Maret-April 2022. Populasi pada penelitian ini adalah seluruh pasien yang menjalani tindakan pembedahan elektif dengan general anestesi dan spinal anestesi dengan jumlah sampel sebanyak 142 responden. Teknik sampling yang digunakan adalah Convinience Sampling. Metode penelitian yang digunakan adalah self-completed questionnaire dengan alat pengumpulan berupa kuesioner. Analisa data menggunakan uji Mann Whitney U-Test. Hasil. Uji statistik menunjukkan ada perbedaan kejadian Post Operative Nausea and Vomiting (PONV) antara pasien dengan general anestesi dan spinal anestesi di Rumah Sakit Daerah Mangusada dimana nilai mean kejadian PONV pasien general anestesi=79,81 dan kejadian PONV pasien spinal anestesi=63,86 (p-value

THE DIFFERENCE IN POST-OPERATIVE NAUSEA AND VOMITING BETWEEN PATIENTS WITH GENERAL ANESTHESIA AND SPINAL ANESTHESIA AT MANGUSADA HOSPITAL IDA DAYU MARSSUNI Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background. Post Operative Nausea And Vomiting (PONV) are increasingly common experienced by patients in the first 24 hours after anesthesia and surgery. PONV is considered a mild event and is rarely fatal, especially in patients with spinal anesthesia, but in persistent cases, it can have a detrimental impact on patients, both patients with general anesthesia and spinal anesthesia. Aim. To find out the difference in the incidence of PONV between patients with general anesthesia and spinal anesthesia at the Mangusada Hospital. Method. This study used a comparative descriptive research design with a cross-sectional approach which was carried out in March-April 2022. The population in this study were all patients who underwent elective surgery with general anesthesia and spinal anesthesia and were selected through Convenience Sampling. A total sample of 142 respondents was then involved in this study. The research method used was a self-completed questionnaire with a questionnaire as a collection data instrument. The data were analyzed using the Mann-Whitney U-Test. Results. Statistical tests showed that there was a difference in the incidence of Post Operative Nausea and Vomiting (PONV) between patients with general anesthesia and spinal anesthesia at the Mangusada Regional Hospital. The mean value of PONV incidence in general anesthesia patients was 79.81 and in spinal anesthesia was 63.86 (p-value